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Commentary

Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety.

Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med. 2019;112(9):365-369. doi:10.1177/0141076819848114.

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June 5, 2019
Macrae C. J R Soc Med. 2019;112(9):365-369.
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Incident investigations present important opportunities for process examination and redesign. This commentary recommends five strategies to ensure investigations inform patient safety improvement. The author emphasizes a focus on system risks, redesigning systems, examination process transparency, public accountability, and consideration of patient, family, and staff experiences.
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Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med. 2019;112(9):365-369. doi:10.1177/0141076819848114.